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Ambisome(安必素)的功效与作用

发布时间:2024-02-24 11:14:06 阅读:1258 来源:问药网
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安必素

安必素 生产厂家:迈兰(Mylan)制药有限公司 功能主治:一线抗真菌药物,治疗深部真菌感染有效率高 用法用量:用法用量  静脉用药:开始静脉滴注时先试以1~5mg或按体重一次0.02~0.1mg/kg给药,以后根据患者耐受情况每日或隔日增加5mg,当增至一次 0.6~0.7mg/kg时即可暂停增加剂量,此为一般治疗量。  成人最高一日剂量不超过1mg/kg,每日或隔1~2日给药1次,累积总量 1.5~3.0g,疗程1~3个月,也可长至6个月,视病情及疾病种类而定。  对敏感真菌感染宜采用较小剂量,即成人一次20~30mg,疗程仍宜长。  鞘内给药:首次0.05~0.1mg,以后渐增至每次0.5mg,最大量一次不超过1mg,每周给药2~3次,总量15mg左右。  鞘内给药时宜与小剂量地塞米松或琥珀酸氢化可的松同时给与,并需用脑脊液反复稀释药液,边稀释边缓慢注入以减少不良反应。  局部用药:气溶吸入时成人每次5~10mg,用灭菌注射用水溶解成0.2%~0.3%溶液应用;超声雾化吸入时本品浓度为0.01%~0.02%,每日吸入2~3次,每次吸入5~10ml;持续膀胱冲洗时每日以两性霉素B 5mg加入1000ml灭菌注射用水中,按每小时注入40ml速度进行冲洗,共用5~10日。  静脉滴注或鞘内给药时,均先以灭菌注射用水10ml配制本品50mg,或5ml配制25mg,然后用5%葡萄糖注射液稀释(不可用氯化钠注射液,因可产生沉淀),滴注液的药物浓度不超过10mg/100ml,避光缓慢静滴,每次滴注时间需6小时以上,稀释用葡萄糖注射液的pH值应在4.2以上。  鞘内注射时可取5mg/ml浓度的药液1ml,加5%葡萄糖注射液19ml稀释,使最终浓度成250μg/ml。  注射时取所需药液量以脑脊液5~30ml反复稀释,并缓慢注入。  鞘内注射液的药物浓度不可高于25mg/100ml,pH值应在4.2以上。
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Ambisome(安必素)的功效与作用,Ambisome(AmBisome)是一种抗真菌药物,其主要成分是阿莫夫洛星(AmphotericinB)。它主要用于治疗严重的真菌感染,具有以下疗效:1.抗真菌活性,抑制多种真菌的生长和繁殖。2.治疗各种念珠菌感染。3.治疗血液系统真菌感染。该药品在治疗相关疾病方面表现出色,疗效显著、安全性高。

Title: The Efficacy and Actions of Ambisome in Treating Fungal Infections

Introduction:

Ambisome, an antifungal medication, has proven to be an effective treatment option for various fungal infections. This article aims to provide an overview of the efficacy and actions of Ambisome in combating fungal infections. It will discuss its mechanism of action, therapeutic indications, and important considerations associated with its use.

1. Understanding Ambisome: A Potent Antifungal Medication

Ambisome is a brand name for the medication Amphotericin B liposomal. It is a liposomal formulation of Amphotericin B, which is known for its broad-spectrum antifungal activity. The liposomal delivery system enhances the drug's pharmacokinetics and reduces systemic toxicity, allowing for a more effective and safer treatment approach.

2. Mechanism of Action: Disrupting Fungal Cell Membranes

Amphotericin B, the active ingredient in Ambisome, exerts its antifungal effects by binding to ergosterol, a key sterol component found in the cell membranes of fungi. This binding disrupts the integrity of the fungal cell membrane, leading to leakage of intracellular contents and ultimately causing cell death. The liposomal formulation of Ambisome enables better drug distribution and prolonged drug activity at the site of infection.

3. Therapeutic Indications: Targeting Serious Fungal Infections

Ambisome is primarily used in the treatment of severe or life-threatening fungal infections. It is effective against a broad range of fungal pathogens, including Candida species, Aspergillus species, Cryptococcus neoformans, and others. Common indications for Ambisome therapy include disseminated candidiasis, invasive aspergillosis, cryptococcal meningitis, and mucormycosis.

4. Administration and Considerations: A Delicate Balancing Act

Ambisome is administered intravenously, and the dosage is determined by factors such as the site and severity of the infection, the patient's overall health condition, and kidney function. Close monitoring of renal function is crucial due to the potential nephrotoxicity associated with Amphotericin B. Pre-medication with antipyretics, antihistamines, and corticosteroids may be considered to reduce the likelihood of infusion-related reactions.

Conclusion:

Ambisome, a liposomal formulation of Amphotericin B, offers an effective and well-tolerated treatment option for various serious fungal infections. By disrupting fungal cell membranes, it combats the invasive growth of pathogenic fungi and helps restore patient health. However, like any medication, Ambisome should be used under medical supervision, with appropriate monitoring of potential side effects and consideration of individual patient factors.